Clinical Quality Improvement Manager; 4178-205-A

Clinical Quality Improvement Manager

Jackson Heights, NY 11372

When you join the CCBQ Team, you will have an impact on the lives of many. For over 125 years, Catholic Charities Brooklyn and Queens has been providing quality social services to the neighborhoods of Brooklyn and Queens, and currently offers 160-plus programs and services for children, youth, adults, seniors, and those struggling with mental illness. Our Clinics are community-based which offer a professional and welcoming environment for both clients and staff. The Clinics provide psychotherapeutic and psychopharmacological therapy, as well as individual, group, family therapy, crisis intervention, medication management, case management and collateral sessions. Our staff members follow an approach to health care that emphasizes wellness, recovery, trauma-informed care and physical-behavioral health integration.

Why you will enjoy being part of our team:
1.    Competitive Salaries and Benefits
2.    Professional Development (CEUs)
3.    High Quality Supervision
4.    Opportunities for Advancement

STATEMENT OF THE JOB 
The Clinical Quality Improvement Manager serves a key role in assisting program management in ensuring that clinic-based programs meet regulatory, contractual, and agency requirements. The Clinical Quality Improvement Manager will develop quality assurance protocols, schedule and implement clinic chart reviews, and communicate findings with senior management ensuring that deficiencies are addressed.  The Clinical Quality Improvement Manager will ensure the provision of clinical services is consistent with the standards of care and evidence-informed practices, leading and supporting clinical quality improvement activities and clinical outcomes, and assisting in the implementation of clinical initiatives and standardized practices. The Clinical Quality Improvement Manager will work in partnership with the program leadership within the Behavioral Health Division to support clinic-based programs to attain clinical benchmarks and to implement standardized practices. The Clinical Quality Improvement Manager serves a critical functional role in assisting with implementation of innovative services and quality assurance and improvement activities for division programs.
The Clinical Quality Improvement Manager will need to have knowledge of the standards set forth by the New York State Office of Mental Health (OMH), Department of Health and Mental Health (DOHMH), Office of the Medicaid Inspector General (OMIG), Health Insurance Portability and Accountability Act (HIPAA), New York State Justice Center for the Protection of People with Special Needs, Health Homes, and Managed Care Organizations. Knowledge is also required of evidence-based assessment and treatment for individuals with serious mental illness, co-occurring substance use disorders, co-morbid medical conditions, trauma, and criminal justice involvement.
The Clinical Quality Improvement Manager is a responsive, positive, service-oriented team player who thrives in a fast-paced, busy environment and is organized to handle often competing deadlines. They will need to possess excellent organizational, analytical, problem solving and communication skills. This position requires accuracy, orientation to detail and maintaining a high level of confidentiality. Under the supervision of the Vice President of Integrated Health and Wellness, Clinics, Rehabilitation, and Recovery Programs, the Clinical Quality Improvement Manager will support the Community Behavioral Health Services Division with clinic-based, ongoing quality assurance and improvement activities with the goal of ensuring that the services provided, and the documentation to support these services, meet standards of care and regulatory requirements. The Clinical Quality Improvement Manager will gather, conduct, and document chart reviews, monitor performance data, follow up on identified actions to improve compliance, track and trend findings, and provide individual and team support to clinic staff and management. The Clinical Quality Improvement Manager will be responsible for training and coaching clinic staff in quality assurance activities, as well as meeting regularly with CCNS’ Office of Planning and Evaluation to ensure these activities are coordinated with the agency’s overall Quality Assurance efforts.
The Clinical Quality Improvement Manager will collect, run, and utilize data from multiple sources on an on-going basis in support of quality assurance and improvement initiatives. They will work closely with program staff, program leadership, and other support departments, as needed. The Clinical Quality Improvement Manager will also work on development and implementation of new initiatives for the Division.
* Monitors individual clinician and clinic productivity on weekly basis and provides regular reports to management as requested
* Works with Medical providers to promote Medication-Assisted Treatment, Mental Health, and other clinic services as clinically indicated
* Responsible for ensuring services are billed accurately and meet the regulatory requirement of OASAS and OMIG regulations
* Ensuring clinical standards and procedures are in place to maximize access to care and ensure quality services are provided to improve outcomes.
* Managing crises and ensuring all policies and protocols are followed to manage clinical risk.
* Conducting community outreach and maintain relationships with external stakeholders
* Implements continuous quality improvement initiatives and ensures the program utilizes established, effective interventions to achieve defined, meaningful clinical outcomes
* Reviews and evaluates comprehensive assessments, progress notes, treatment plan reviews for quality assurance.
* Ensures that problematic systems are in place to meet all client safety and service needs and physical facility meets appropriate safety and aesthetic standards and external policies, procedures, and regulations
* Work with program directors and agency medical director to coordinate the assessment and management high risk clients
* Assist in the management of database systems, including the electronic health record; promote agency compliance with all confidentiality/privacy laws
* Conduct staff surveys, medical record reviews, and literature review to assess staff development and competency training needs
* Conduct program evaluation activities and lead quality improvement initiatives

QUALIFICATIONS
* Master’s degree in social services related field.
* NYS Licensed Clinical Social Worker (LCSW)
* At least one year of direct care experience in behavioral health
* Three years prior experience managing and/or supporting quality assurance functions in a health, behavioral health, or social services setting required
* Good analytical and innovative problem-solving abilities, written and communication skills, and effective interpersonal skills
* Proficiency with statistical software, electronic health records, and Microsoft Office
* Experience supporting programs using the Netsmart myEvolv electronic health record preferred  
* Prior experience implementing incident review processes required
* Knowledge of NYSOMH and OASAS regulations/requirements preferred
* Ability to effectively communicate with a diverse team across all levels of the organization
* Excellent oral and written communication skills, with strong attention to detail
* Must possess skills and working knowledge of Microsoft Office including Word, Excel and PowerPoint

BENEFITS 
We offer competitive salary and excellent benefits including: 
•    Generous time off (Vacation/ Personal Days/ Sick Days/ Paid Holidays annually) 
•    Medical, 
•    Dental 
•    Vision 
•    Retirement Savings with Agency Match
•    Transit * Flexible Spending Account 
•    Life insurance 
•    Training Series and other additional voluntary benefits.
 For more information on our organization, please visit our website at: www.ccbq.org EOE/AA.